Azerbaijan rank 92nd in the in the healthcare systems

Baku/29.05.18./ Turan: The prestigious British medical journal The Lancet published an annual ranking of countries on the level of efficiency of health systems. The publication estimated the availability and quality of medical care in 195 countries around the world. As an indicator, 32 diseases were considered in which it is possible to prevent the death of a patient through effective treatment.

The report notes that one of the key components of ensuring universal coverage of health services is access to quality health care for all population groups. The study of successes and achievements or deficiencies and gaps in this area is crucial for the development of policy decisions and strategies for further development. A global study covering about 200 countries and territories of the world during the period from 1990 to 2016, was carried out for such diseases as whooping cough, neonatal disorders, various forms of cancer (breast cancer, leukemia, etc.) epilepsy, diabetes, chronic kidney failure, peptic ulcer, etc.

National data on the cure of patients on this list of diseases were used to estimate the access and quality of care through index of access and quality of medical care (HAQ).

"We used 32 reasons why death should not occur with effective medical care, with access and quality of this assistance locally and for a short time. In order to objectively assess the situation in this area, taking into account the level of access to health care and risk factors, mortality has been standardized for specific reasons caused by a number of diseases. Based on the oncology registry in GBD 2016, cancer mortality rates were used instead of standardized mortality rates to provide a stronger signal about the impact of personal care and access to cancer survival. Reformatted the scale of causes 0-100 points, with 0 as the first (worst) level observed between 1990 and 2016, and 100 as the 99th level (the best). An analysis was made of the main components for building the HAQ index," the report says.

According to the rating, the best healthcare system in the world operates in Iceland, which received the highest points - 97.1 out of 100 possible. Further on the list are Norway, Holland, Luxembourg, and in the fifth place are Finland and Australia with 95.9 points. This means that the inhabitants of these countries have the maximum access to medical care, this assistance and people are cured even of the most dangerous and serious diseases.

Estonia ranks the 31st with 86 points, Latvia - 43rd (81 points), Lithuania - 45th (80 points). Azerbaijan ranks 92nd in this rating (66 points), neighboring with far-off Mexico and Peru. Above us were the "distressed" Armenia, which ranks the 70th (71 points), Kazakhstan -78th (69 points), Moldova - 87th (67 points), Georgia - 89th (67 points).

The last places in the ranking were occupied by Chad, Guineau-Bissau, Somalia, Central African Republic (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30994-2/fulltext?code=lancet- site).

National studies show that Azerbaijan has a high mortality rate from non- communicable diseases - 87% of all deaths account for these diseases. In particular, 57.8% of deaths occur in cardiovascular diseases. On the second place - oncological diseases.

At the root of the problem is not so much the technical equipment of clinics, the professionalism of doctors, but the availability of these services, the financial situation of citizens. Treatment in Azerbaijan is very expensive. Analyzes, ultrasound or tomography, medications - all this requires a lot of money, not to mention paying for the services of a doctor and a nurse. Therefore, people sometimes turn to specialists in extreme cases, when the disease is difficult to treat or no longer lends itself.

Another negative point is the lack of a system of compulsory health insurance, which would allow citizens to receive medical care on a regular basis, and not when it is too late to cure the disease. While this system is used in a pilot format in 4-5 regions of the republic. In addition, the amount of budget investments allocated to this sphere is insufficient, they do not allow expanding access to quality medical care. -0-